| NPI | 1285883074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A122629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122629) |
| 207R00000X Internal Medicine (Licence: MD D73179) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-04-11 |