| NPI | 1831192194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 46216) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 49268) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 36587) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2015-06-04 |