| NPI | 1659682771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 72341) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.133535) |
| 207R00000X Internal Medicine (Licence: IL 125-057643) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2025-12-15 |