| NPI | 1851367882 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 26429) | 
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: WI 26429) | 
| Enumeration Date | 2006-02-28 | 
| Last Update Date | 2017-07-10 |