| NPI | 1336350206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 104563) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 20228) |
| 207R00000X Internal Medicine (Licence: MS T-1934) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2026-04-16 |