| NPI | 1407822208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME26471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME26471) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 060060) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2009-02-17 |