| NPI | 1104912708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS-013715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA os 013715) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-08-19 |