| NPI | 1588806822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD043624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091077) |
| 207R00000X Internal Medicine (Licence: FL ME109458) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2015-11-09 |