| NPI | 1730189192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME66107) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: FL 66107) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-01-19 |