| NPI | 1811969827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 32799) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-31818) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME75971) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 33895) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-18 |