| NPI | 1346243458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 7228) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 7228) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-07-10 |