| NPI | 1881642585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01064523A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078054) |
| 207R00000X Internal Medicine (Licence: MN 48232) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 48232) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-10-10 |