| NPI | 1306131867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.205944) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD451927) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-05-08 |