| NPI | 1982812129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2009-00529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6231) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2013-05-31 |