| NPI | 1629096904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 24701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 18730) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 18730) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 18730) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-08-22 |