| NPI | 1528210119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 46995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046995) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2013-10-01 |