| NPI | 1487149332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2021008709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021008709) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2021008709) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2025-08-06 |