| NPI | 1568472983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME54605) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME54605) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-05-04 |