| NPI | 1477089514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME166908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.152016) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-05 |