| NPI | 1376622985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-13641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01754) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 37891) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 12422) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-04-25 |