| NPI | 1619944238 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 70906) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036074808) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME93864) | |
| Enumeration Date | 2006-03-02 | 
| Last Update Date | 2024-01-17 |