| NPI | 1831157163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 6689) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 006689) |
| 207R00000X Internal Medicine (Licence: PR 6689) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-04-29 |