| NPI | 1780887398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 9066) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: OK 9066) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2007-07-08 |