| NPI | 1992818678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 51801-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 32313) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 32313) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-01-09 |