| NPI | 1316920903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 5951737-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 5951737-1205) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |