| NPI | 1750526109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 53403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53403) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 53403) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2024-04-23 |