| NPI | 1043393531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101240399) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME27115) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 9316) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |