| NPI | 1952558116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 7706371-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A82925) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 11014164A) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2021-12-15 |