| NPI | 1881044972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 80576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 86087-20) |
| 207R00000X Internal Medicine (Licence: MN 80576) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 86087-20) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2026-09-29 |