| NPI | 1659553923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A98965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98965) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2014-01418) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-12-08 |