| NPI | 1578727178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 20655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13464) |
| 207R00000X Internal Medicine (Licence: CT 51042) | |
| 207R00000X Internal Medicine (Licence: CA C191530) | |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2026-05-28 |