| NPI | 1184065161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 24081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15250) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2023-09-19 |