| NPI | 1184784498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CO 31109) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CO 31109) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-10-02 |