| NPI | 1407341464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: HI DOS-2532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151011919) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-06-27 |