| NPI | 1740316959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 39595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200600623) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2020-01-23 |