| NPI | 1306378674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME175596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME139837) |
| 207R00000X Internal Medicine (Licence: IN 01085784A) | |
| 207R00000X Internal Medicine (Licence: FL TRN24428) | |
| 207R00000X Internal Medicine (Licence: FL ME175596) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-07-21 |