| NPI | 1841351970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301106805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301106805) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200001267) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-11-04 |