| NPI | 1669682407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 37987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-7930) |
| 207R00000X Internal Medicine (Licence: IA 37987) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-08-05 |