| NPI | 1033193206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60071444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113395) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-10-22 |