| NPI | 1477553139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD170342) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M6887) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-02-13 |