| NPI | 1922088657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 18871) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-24412) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 04-24412) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-10-17 |