| NPI | 1770583239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 36866) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E-5634) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 18205) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2018-03-16 |