| NPI | 1518429919 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX V8389) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP10081517) | 
| Enumeration Date | 2019-04-03 | 
| Last Update Date | 2025-06-25 |