| NPI | 1871015388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0061579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0061579) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2025-10-09 |