| NPI | 1396058533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0010444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284558) |
| 207R00000X Internal Medicine (Licence: DE C1-0010444) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-10-06 |