| NPI | 1891782645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 1537) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 27508-020) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 29328) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2022-02-21 |