| NPI | 1144225335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 19620) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 35657) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-08-20 |