| NPI | 1194778613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-26566) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2005029310) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME149808) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2026-02-25 |