| NPI | 1023490430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 2376-320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208058) |
| 207R00000X Internal Medicine (Licence: AL 40795) | |
| 207R00000X Internal Medicine (Licence: PA MD464244) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2026-03-12 |