| NPI | 1811919665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 6721) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G64648) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 27498) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-01-15 |