| NPI | 1629166061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301080286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301080286) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 248506) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-12-05 |