| NPI | 1578730271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9875) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md432010) |
| 207R00000X Internal Medicine (Licence: PA md432010) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2013-01-30 |