| NPI | 1356319602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 39008) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 052100) |
| 207R00000X Internal Medicine (Licence: TN 39008) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2016-02-10 |