| NPI | 1558426015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D32687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D32687) |
| 207R00000X Internal Medicine (Licence: VA 0101043258) | |
| 207R00000X Internal Medicine (Licence: DC MD15546) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101043258) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-11-01 |