| NPI | 1639370851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E-6460) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2008-00679) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2021-04-09 |