| NPI | 1326039579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0030041) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD12286) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 101031774) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-02-22 |