| NPI | 1063479319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 171-320) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 36145) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036-1123608) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-09-05 |