| NPI | 1639445166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP61406271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102208443) |
| 207R00000X Internal Medicine (Licence: FL OS12414) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS12414) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0102208443) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2025-07-07 |