| NPI | 1952651382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-43759) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP20041756) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A145393) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2026-05-21 |