| NPI | 1821055492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD208805) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0066849) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R6974) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-10-31 |