| NPI | 1881896223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 11136) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301077144) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301077144) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-12-28 |