| NPI | 1699935106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 063516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 63516) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-07-24 |