| NPI | 1982267985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33583) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1024787) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-09-25 |