| NPI | 1538364138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 78763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-232058) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A112220) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2026-02-13 |