| NPI | 1811958689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2009014851) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV wv19987) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-123864) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-10-29 |