| NPI | 1497795389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 275830I205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 5162) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 5162) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-08-29 |