| NPI | 1013908276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D0042707) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DC MD12915) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2021-12-13 |