| NPI | 1699747881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-41454) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD425468) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-12-13 |