| NPI | 1235650284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD487667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME144650) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME144650) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2026-01-20 |