| NPI | 1235116864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD16358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043983) |
| Enumeration Date | 2005-12-24 |
| Last Update Date | 2018-11-07 |