| NPI | 1396911533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA os 013985) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS 013985) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2013-02-04 |