| NPI | 1396763595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME55703) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME55703) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0055703) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-09-07 |