| NPI | 1386633543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 8956) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 8956) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-11-10 |