| NPI | 1568639458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 61798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0009567) |
| 207R00000X Internal Medicine (Licence: NH 16516) | |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2020-10-02 |