| NPI | 1225045719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 104966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 104966) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-24893) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-04-05 |