| NPI | 1851377816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 20775) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2022-12-01 |