| NPI | 1790986644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301507515) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036119438) |
| 207R00000X Internal Medicine (Licence: IL 036119438) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-10-18 |