| NPI | 1871577379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 16870) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 45871) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 40407) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 61329) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 45871) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN MD-52871) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-07-28 |