| NPI | 1679765481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D0056089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0056089) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2013-10-21 |