| NPI | 1639140502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101256043) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A81650) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 72244) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 12591A) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-12-14 |