| NPI | 1669676946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 35548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 141092) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-125325) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-01-05 |