| NPI | 1063409233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 216367) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD13851) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2026-07-16 |