| NPI | 1245348390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 54861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 90757) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 90757) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2026-01-29 |