| NPI | 1003800988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 2003-0490) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD38877) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 23341) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-04-20 |