| NPI | 1780674721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2012-00554) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-14539) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101234534) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2021-02-24 |