| NPI | 1740249267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME132530) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200200674) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036118799) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-01-26 |