| NPI | 1942489638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0102203102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC DO34239) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2020-10-25 |