| NPI | 1184701559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-31197) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 49436-020) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2009010043) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-12-12 |