| NPI | 1013165141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME128230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18396) |
| 207R00000X Internal Medicine (Licence: FL ME128230) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-07-29 |