| NPI | 1932381795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 50184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98207) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2022-03-23 |