| NPI | 1639231590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0058071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME58071) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-11-07 |