| NPI | 1558520528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 53189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E6762) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E-6762) | |
| 207R00000X Internal Medicine (Licence: TX N3587) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-06-06 |