| NPI | 1073896544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A140214) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 7309604) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 48951) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-04-25 |