| NPI | 1477636405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 254) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-45646) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 64626) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00022977) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-11-30 |