| NPI | 1992082838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 97444) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN DO3328) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2023-10-30 |