| NPI | 1891957445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME119373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192854) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-06-19 |