| NPI | 1649309139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME116273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225282) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-10-20 |