| NPI | 1588623912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 45742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 211620) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 211620) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-11-22 |