| NPI | 1134624604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 65928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29208) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 83716-20) | |
| 207R00000X Internal Medicine (Licence: MN 65928) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-09-11 |