| NPI | 1730204678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 52561) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CA A98132) |
| 207R00000X Internal Medicine (Licence: CA A98132) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A98132) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-11-18 |