| NPI | 1396788022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 26605) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 16512) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-33592) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-11-15 |