| NPI | 1487879300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N7349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7349) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-24188) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-08-29 |