| NPI | 1780744268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101046617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD19249) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D41762) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |