| NPI | 1750354411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 37280) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME103659) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 35932) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-26936) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-08-11 |