| NPI | 1245737261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 20499-875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072666) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 20499-875) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-06-11 |