| NPI | 1154395937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-22826) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 1716) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 16952) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2015-10-15 |