| NPI | 1235691072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 7530320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-49870) |
| 207R00000X Internal Medicine (Licence: WI 7530320) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-08-06 |