| NPI | 1780785428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 35833) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 035833) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-07-29 |