| NPI | 1700852035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD418932) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WY TL3539) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-07-21 |