| NPI | 1710147129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30345) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 30435) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-04-05 |