| NPI | 1710915012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME169173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8387) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M8387) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-09-09 |