| NPI | 1881700912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD38301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 38301) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2017-05-15 |