| NPI | 1811930670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 200200554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200200554) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-01-25 |