| NPI | 1164545018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD038409) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101246611) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D69923) | |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2022-01-10 |