| NPI | 1083032577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 81682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017042253) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2017042253) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2026-02-17 |