| NPI | 1174573653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 1907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL os-054898) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS054898) | |
| 207R00000X Internal Medicine (Licence: TN 1907) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-04-27 |