| NPI | 1295735769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-8388) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M8388) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD F86110) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2015-11-17 |