| NPI | 1295805554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 32113) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME111176) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI 06573) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-03-08 |