| NPI | 1831399542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2020-04140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30128) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 50708) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-10-20 |