| NPI | 1194245167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2023-00037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016771) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2026-03-16 |