| NPI | 1538147137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0013072) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 101021393) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD000005046) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-10-24 |