| NPI | 1578643474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME113851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081189) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2011-00925) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-06-19 |