| NPI | 1659301505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH NH 9280) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 9280) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-03-01 |