| NPI | 1912087826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 2701431205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 3489A) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-05-13 |