| NPI | 1659387801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 16224) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 16224) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-08-10 |