| NPI | 1639528656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 8026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019035) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2026-01-27 |