| NPI | 1740382688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 62420) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 36264) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-07-14 |