| NPI | 1871545954 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 73314) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60789987) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036093444) | |
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2025-03-12 |