| NPI | 1831129006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C55809) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME 016525) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 12331) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME110426) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-01-16 |