| NPI | 1649378365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 24308) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2004013314) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-31258) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-07-21 |