| NPI | 1053331645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD431259) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 022487) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-02-02 |