| NPI | 1104359637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0027017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0027017) |
| 207R00000X Internal Medicine (Licence: MD D0100180) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0100180) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-08-05 |