| NPI | 1023106614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD12398) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224078) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-06-23 |