| NPI | 1790906246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA MD-39179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5411) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-08-12 |