| NPI | 1760689095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A96338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96338) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 235259) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2015-08-19 |