| NPI | 1356367007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 8297) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD209551) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 00049195) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-06-08 |