| NPI | 1730157553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME38401) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME38401) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-02-22 |