| NPI | 1649241803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J6767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J6767) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-10-03 |