| NPI | 1760064265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME163845) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: FL ME163845) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2024-05-14 |