| NPI | 1679705784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 8671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018179) |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2015-07-21 |