| NPI | 1295704245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 56395) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 61412) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 69596) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-01-04 |