| NPI | 1437395266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D79988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0565) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2015-11-17 |