| NPI | 1700911328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2008-00609) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 18256) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-01-17 |