| NPI | 1972953438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 05-46726) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-115314) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2026-06-30 |