| NPI | 1578824462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 261741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252929) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2019-07-31 |