| NPI | 1831399542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 281543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30128) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2020-04140) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 50708) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2026-06-09 |