| NPI | 1477666501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200300531) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 27002) |
| 207R00000X Internal Medicine (Licence: NC 200300531) | |
| 207R00000X Internal Medicine (Licence: SC 27002) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2026-09-05 |