| NPI | 1740336486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 27053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-31665) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-08-28 |