| NPI | 1366425134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS015704) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA BS9602699) |
| 207R00000X Internal Medicine (Licence: AR E-4881) | |
| Enumeration Date | 2005-11-24 |
| Last Update Date | 2024-04-30 |