| NPI | 1881642551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-40715) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G63930) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-11533) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 42180) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-03-17 |