| NPI | 1154367332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 20011) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 109396) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P4999) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-01-06 |