| NPI | 1770017121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0028078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0028078) |
| 207R00000X Internal Medicine (Licence: MD D0104523) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0104523) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-09-02 |