| NPI | 1609801109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A120620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429231) |
| 207R00000X Internal Medicine (Licence: CA A120620) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-10-14 |