| NPI | 1083614572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 26826) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 16981) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 15079) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2024-05-23 |