| NPI | 1760743728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101020054) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02007779A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS018223) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-05-23 |