| NPI | 1710196811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 76580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 76580) |
| 207R00000X Internal Medicine (Licence: VA 0101278174) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101278174) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-06-16 |