| NPI | 1922363035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 63227) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 251660) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 74453) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-10-05 |