| NPI | 1184676686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD12757) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD12757) |
| 208U00000X Clinical Pharmacology (Licence: DC MD12757) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-10 |