| NPI | 1013957125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G67716) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G67716) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-08-03 |