| NPI | 1194721167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G46612) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G46612) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2025-04-23 |