| NPI | 1760641013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 63709) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 48263) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A106487) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-08-07 |