| NPI | 1225284094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 31269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 136547) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2018-03-08 |