| NPI | 1558560987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 232660) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2011-00751) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2026-01-24 |