| NPI | 1700047339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: HI MD-21912) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MT 132816) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 260186) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-04-05 |