| NPI | 1922082544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0030715) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 0030715) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME0030715) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2024-08-27 |