| NPI | 1679608053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101240145) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2006-01646) |
| 207R00000X Internal Medicine (Licence: VA 0101240145) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-11-07 |