| NPI | 1992742993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 238276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301069394) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-02-08 |