| NPI | 1184011827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME MD27073) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NH 24141) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-12-06 |