| NPI | 1992817126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 29044) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 45065) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2003000087) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-04-01 |