| NPI | 1750351029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 8994038-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101238276) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101238276) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-09-16 |