| NPI | 1851589162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME103253) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC 034810) |
| 174400000X Specialist (Licence: DC MD034810) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2021-08-27 |