| NPI | 1730407511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME131675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071480A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.121345) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-07-21 |