| NPI | 1033343348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 54940-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6441) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2026-02-20 |