| NPI | 1194045047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301096604) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A170748) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101268398) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2025-02-27 |