| NPI | 1710951363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 21446) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 21446-020) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-056984) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-12-08 |