| NPI | 1780895599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2011-01093) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 39448) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301089377) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-11-05 |