| NPI | 1689636599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY TP824) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 1374) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-12-26 |