| NPI | 1881671949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 51131) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 27129) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TPME5622) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-08-04 |