| NPI | 1932328978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 006614) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5315022261) |
| 207R00000X Internal Medicine (Licence: MI 5315022261) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-06-11 |