| NPI | 1609005503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 65349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094094) |
| 207R00000X Internal Medicine (Licence: WI 65349) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-08-24 |