| NPI | 1437251899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101265060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58256) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 0055644) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 58256) | |
| 207R00000X Internal Medicine (Licence: VA 0101265060) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2025-10-21 |