| NPI | 1174596621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G13124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G13124) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G13124) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-09 |