| NPI | 1710154927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301063158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085630) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2017-02-28 |