| NPI | 1568407781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 21713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME39635) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME39635) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-08-08 |