| NPI | 1932197290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.161634) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 10673) |
| 207R00000X Internal Medicine (Licence: NV 10673) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2025-09-16 |