| NPI | 1235340225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 20003) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 20003) |
| 207R00000X Internal Medicine (Licence: MS 20003) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-10-31 |