| NPI | 1972684298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00252) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.133995) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101242256) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-01-04 |