| NPI | 1649219601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 4581) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 33742) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 43224) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 12030) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-05-03 |