| NPI | 1003894726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 32143) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GU MC-149) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 8577) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-05-08 |