| NPI | 1225358666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 5389) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 34942) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G23993) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 169856-1205) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |