| NPI | 1255993820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT227032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074745) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-06-22 |