| NPI | 1740242155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 50397-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46507) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 46507) | |
| 207R00000X Internal Medicine (Licence: WI 50397-20) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-12-14 |