| NPI | 1467409755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 028851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 028851) |
| 208D00000X General Practice (Licence: GA 028851) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2017-01-30 |