| NPI | 1851496194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-13765) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J5068) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016028739) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-01-21 |