| NPI | 1922414440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.42698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 42698) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-09-23 |