| NPI | 1881958262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.208127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.208127) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME141809) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-01-26 |