| NPI | 1245288174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 7145) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 007145) |
| 207R00000X Internal Medicine (Licence: PR 7145) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-07-22 |