| NPI | 1689061897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 3223-320) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 88150) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101281574) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-COM-LIC-145) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2024-10-24 |