| NPI | 1841253259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 14085) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0421213) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-21213) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2017-10-03 |