| NPI | 1396747424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME108483) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 38340) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 063196) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-03-19 |