| NPI | 1023157047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2008-01121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0296) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-07-11 |