| NPI | 1649239450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 11422) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 11422) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-07-21 |