| NPI | 1306815105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101034738) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101034738) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-12-20 |