| NPI | 1841234747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M9570) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL M9570) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-09-11 |