| NPI | 1467580225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G039776) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI 15000) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-04-24 |