| NPI | 1740361302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 37795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23367) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 37067) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-09-17 |