| NPI | 1861698656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-81009) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101245111) |
| 207R00000X Internal Medicine (Licence: VA 0101245111) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-04-15 |