| NPI | 1821094988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0028147) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 15759) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 4651A) | |
| 207R00000X Internal Medicine (Licence: CO DR.0028147) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2016-12-09 |