| NPI | 1134163850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 21306-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 21306-020) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-11-30 |