| NPI | 1588622971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD53322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217017) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 217017) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-03-21 |