| NPI | 1497732705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C10003022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0003022) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-01-06 |