| NPI | 1881954352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD22836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00438) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2019-06-20 |