| NPI | 1598960619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 265558) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 026558) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-12-27 |