| NPI | 1568166841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77483) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301517744) |
| 207R00000X Internal Medicine (Licence: MN 33350) | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2026-07-19 |