| NPI | 1669439071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 12316A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 166435) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-77127) | |
| 174400000X Specialist (Licence: FL me83191) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2023-12-18 |