| NPI | 1871790717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA 20A12778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017289) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-12-24 |