| NPI | 1518100924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 9768009-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0073872) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-00328) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2017-04-23 |