| NPI | 1962883272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0072970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10054224) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2022-0133) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2026-07-10 |