| NPI | 1952321598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A95825) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 13601) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-07-16 |