| NPI | 1295932176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 63773) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 50779) |
| 207R00000X Internal Medicine (Licence: MN 50779) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-09-02 |