| NPI | 1588617880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 20776) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GU M-2002) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-06-12 |