| NPI | 1417912460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 52174) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD174464) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M7936) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-03-05 |