| NPI | 1013152768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA F5731) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL L.3009SP) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2012-09-21 |