| NPI | 1811359011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D87038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D87038) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD210011591) | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2024-06-05 |