| NPI | 1316157241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 38228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-7738) |
| 207R00000X Internal Medicine (Licence: IA 38228) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-07-02 |