| NPI | 1669715884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD27031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 22492) |
| 207R00000X Internal Medicine (Licence: ME MD27031) | |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2025-05-28 |