| NPI | 1831155944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN MD19887) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101232014) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 9500424) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-02-21 |