| NPI | 1215990098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 63539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00103) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-03-17 |