| NPI | 1477634541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO MDr9j60) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R9J60) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-12-09 |