| NPI | 1720095508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 200000733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 22751) |
| 207R00000X Internal Medicine (Licence: NC 200000733) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 061560) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 22751) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-05-26 |