| NPI | 1003551433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1023634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079841) |
| 207R00000X Internal Medicine (Licence: MA 1023634) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-03-24 |