| NPI | 1386968808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 189732) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AK 189732) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-08-10 |