| NPI | 1689893927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 060063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 60063) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-10-23 |