| NPI | 1770664898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME 016451) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AK 4788) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-06-06 |