| NPI | 1639245665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301099711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 41619) |
| 207R00000X Internal Medicine (Licence: MI 4301099711) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-10-13 |