| NPI | 1932250339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 29578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006024375) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-02-14 |