| NPI | 1891707683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO126250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017066) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101017066) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-11-04 |