| NPI | 1134382898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 33751) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME142773) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 010088513A) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-12-19 |