| NPI | 1508832692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD H69649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013114) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2014-12-30 |