| NPI | 1013190651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C10010412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189845) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2016-11-08 |