| NPI | 1568648244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q9381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002663) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 105461) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 54449) | |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2018-06-21 |