| NPI | 1083662894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 13522) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.063274) |
| 174400000X Specialist (Licence: IL 036063274) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2026-05-08 |