| NPI | 1700857372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME MD10671) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME 010671) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2022-02-03 |