| NPI | 1366541187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 14977) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 14977) |
| 174400000X Specialist (Licence: SC 18530) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 14977) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-06-26 |