| NPI | 1043253511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E6862) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200401110) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-05-06 |