| NPI | 1033172192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 3077) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0524469) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 05-24469) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-11-04 |