| NPI | 1891929063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME123575) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01019735A) |
| 207R00000X Internal Medicine (Licence: MI 4301094726) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2017-02-21 |