| NPI | 1255334991 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME47288) | 
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME47288) | 
| Enumeration Date | 2005-05-26 | 
| Last Update Date | 2025-06-03 |