| NPI | 1811399504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-44566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.141658) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2026-07-17 |