| NPI | 1942341912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 67367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D66739) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D66739) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2023-03-04 |