| NPI | 1225118748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M9556) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD427279) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-01-16 |