| NPI | 1679535975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 70616) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101241048) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 40899) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2018-12-12 |