| NPI | 1699759936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA a052660) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A052660) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-01-30 |