| NPI | 1205222320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 74771-20) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD489758) |
| 207R00000X Internal Medicine (Licence: PA MD489758) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2026-02-09 |