| NPI | 1720283393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 11348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0026266) |
| 207R00000X Internal Medicine (Licence: TX N6161) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 57394-21) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-08-10 |