| NPI | 1194043042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA 112062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112062) |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2016-10-03 |