| NPI | 1275549198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 33655) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 33655) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-11-15 |