| NPI | 1568565760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 200301381) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2000151772) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2013-08-16 |