| NPI | 1427468958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00971) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2017-00971) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-10-20 |