| NPI | 1356667984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.53712) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0438840) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 63322) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2026-08-24 |