| NPI | 1124051628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101050393) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101050393) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-09-11 |