| NPI | 1073825782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 27985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE H13474132) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA MD-41351) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-09-06 |