| NPI | 1750365193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 143503) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 180981-1205) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 180981-1205) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2024-12-18 |