| NPI | 1871548990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R7G95) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID MC-1634) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-09-27 |