| NPI | 1609191485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-00260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00260) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD21979) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2018-09-12 |