| NPI | 1447811781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP61655457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8642) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-07-14 |