| NPI | 1962475848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R3G97) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 34) |
| 174400000X Specialist (Licence: MO R3G97) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2025-10-24 |