| NPI | 1548244601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 48755) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 48755) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2009-03-24 |