| NPI | 1275514986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C58208) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200300293) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101232582) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-01-05 |