| NPI | 1629215371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX u4943) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 76606) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 4282-320) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 73471) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61663646) | |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2025-05-20 |