| NPI | 1801872056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME122712) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 39550) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 45329) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-09-01 |