| NPI | 1609098581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL OS11675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016957) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MB08595000) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-11-01 |