| NPI | 1891835385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0063569) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD035654) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101240455) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-04-29 |