| NPI | 1174082408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 28395) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 28395) |
| 207R00000X Internal Medicine (Licence: NV 28395) | |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2026-07-23 |