| NPI | 1962905760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 83696-20) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 69102) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301511318) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-07-08 |