| NPI | 1295755734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 9600) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G66627) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 13334) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-06-12 |