| NPI | 1306067582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS013042) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MB08004800) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-01-31 |