| NPI | 1043472400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CO CDRH.0054955) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R70524) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0054955) | |
| 2086S0129X (Licence: AZ 48372) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-07-07 |