| NPI | 1699018010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.69443) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-01166) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME139817) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-08-29 |