| NPI | 1770504490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101278527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 027061) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 027061) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-04-24 |