| NPI | 1093122947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD5853) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: DC MD5853) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |