| NPI | 1699980565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 26871) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 8526) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-40530) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-05-28 |