| NPI | 1386703023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 15893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A91992) |
| 207R00000X Internal Medicine (Licence: KS 04-33795) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-08-21 |