| NPI | 1073773834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 55951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053060) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2016-08-13 |