| NPI | 1639360779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD422151) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35098378) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD200430) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-07-20 |