| NPI | 1396305868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A177969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2109021210) |
| 207R00000X Internal Medicine (Licence: CA A177969) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-08-18 |