| NPI | 1700940426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101058409) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D56585) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD33934) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-12-22 |