| NPI | 1710227954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 24975) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH EL12711) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS12979) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2026-05-28 |