| NPI | 1427180868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 47715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 201231) |
| 207R00000X Internal Medicine (Licence: LA 201231) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-10-20 |