| NPI | 1770556243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME151689) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 45052) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD437095) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2026-08-27 |