| NPI | 1740261924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0046345) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 101055162) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD32794) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2012-10-08 |