| NPI | 1528232279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 101367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME101367) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2022-07-18 |