| NPI | 1396032983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 81780) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 4062-320) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO CDR.0007341) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA IMLC.MD.70167785) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-57683) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2026-08-26 |