| NPI | 1053510768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD18556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME EC071073) |
| 207R00000X Internal Medicine (Licence: ME MD18556) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-04-01 |