| NPI | 1821227760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD205530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME122824) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME122824) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-11-05 |