| NPI | 1639332091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301088719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088719) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2013021230) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30048) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-08-30 |