| NPI | 1427008366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 9400607) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9400604) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-02-29 |