| NPI | 1477852010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 006319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2115) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2015-05-04 |