| NPI | 1487274536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301508804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315217329) |
| 207R00000X Internal Medicine (Licence: MI 4301508804) | |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2026-06-11 |