| NPI | 1144568759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101257421) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD446748) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 45552) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2025-09-22 |