| NPI | 1952310476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME139310) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 044184) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-08-13 |