| NPI | 1487657102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0002916) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C10002916) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-10-17 |