| NPI | 1568646479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 0061529) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N8950) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2023-10-27 |