| NPI | 1912172735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 50337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 141991) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-44172) | |
| 207R00000X Internal Medicine (Licence: CO 50337) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2021-04-05 |