| NPI | 1588230692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4351047544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047544) |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2024-06-25 |