| NPI | 1588929897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 95244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02535) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA Pending) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-05-10 |