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 |