| NPI | 1568429769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0051021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0051021) |
| 207R00000X Internal Medicine (Licence: NC 32882) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 32882) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-10-12 |