| NPI | 1639523194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD27190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0089835) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME MD27190) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-01-30 |