| NPI | 1902918451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 45108) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 98514) |
| 207R00000X Internal Medicine (Licence: MN 45108) | |
| 207R00000X Internal Medicine (Licence: FL ME98514) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-02-18 |