| NPI | 1295997260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446247) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD446247) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2026-08-03 |