| NPI | 1962577809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD32278) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD 00055968) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101225630) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-11-16 |