| NPI | 1932294253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C54250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087068) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-01-31 |