| NPI | 1417123274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 29291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29291) |
| 207R00000X Internal Medicine (Licence: TX n3727) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX n3727) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2014-04-17 |