| NPI | 1093027088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60600125) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT203350) |
| 207R00000X Internal Medicine (Licence: AZ R71968) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2025-12-04 |