| NPI | 1619004066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN MD0000045328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000045328) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-03-15 |