| NPI | 1538156799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 37978) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME81224) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 70300) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2022-09-27 |