| NPI | 1033716089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MTL005859) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 94-11289) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2026-04-27 |