| NPI | 1356327035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 209157-1) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 32023) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101051042) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 038580) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2015-09-25 |