| NPI | 1174597876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 53499) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 63057) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 43038) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2026-10-17 |