| NPI | 1811089766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 042492) |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: GA 042492) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-05-03 |