| NPI | 1790710648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX L6461) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L6461) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-03-18 |