| NPI | 1992754196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 248564) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101257023) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 19067) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-12-17 |