| NPI | 1326255712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D82536) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0010105) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-05-10 |