| NPI | 1003436593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A188611) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 1003436593) |
| 207R00000X Internal Medicine (Licence: CA A188611) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2026-07-23 |