| NPI | 1245296342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 42679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 42679) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 42679) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-02-09 |