| NPI | 1396908901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0054152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017685) |
| 207R00000X Internal Medicine (Licence: CO DR.0054152) | |
| 207R00000X Internal Medicine (Licence: NE 1186) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 1186) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2014-12-26 |