| NPI | 1760449680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G6578) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G6578) |
| 207R00000X Internal Medicine (Licence: TX G6578) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-09-02 |