| NPI | 1669514675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A73669) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 36853) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |