| NPI | 1912920380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0030769) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101037114) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD33983) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-05-10 |