| NPI | 1427407931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD25715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267218) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 267218) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-03-02 |