| NPI | 1821094327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 3416) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00150) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS9663) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-03-22 |