| NPI | 1558429522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD226859) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 49770) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 22491) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2026-06-10 |