| NPI | 1770804908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 2358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 0000002358) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 201802679) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-05-21 |