| NPI | 1245351055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 15606) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 104419) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 52405) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-10-31 |