| NPI | 1346598166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042.0018227-COMP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16527) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2025-09-10 |