| NPI | 1649224130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS8973) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS8973) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-09-19 |