| NPI | 1407545205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 14281008-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R80302) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2026-06-18 |