| NPI | 1619288263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-41323) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2018037325) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 29149) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2019-01-15 |