| NPI | 1932285103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 4870) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NH 4870) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-01-26 |