| NPI | 1760493563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME117376) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R3H88) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-25343) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-06-20 |