| NPI | 1952608119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.206302) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.206302) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME143193) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2024-03-19 |