| NPI | 1699700930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME62166) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01073621) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD028628E) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-10-22 |