| NPI | 1912103847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-01137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 22251) |
| 207R00000X Internal Medicine (Licence: CA 117328) | |
| 207R00000X Internal Medicine (Licence: NC 2016-01137) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-01-20 |