| NPI | 1841450194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME MD20223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235997) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-04-26 |