| NPI | 1649252370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0076187) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL BT 5893018) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-03-07 |