| NPI | 1306860176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101035950) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 027974) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 22928) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-04-22 |