| NPI | 1932213790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 12957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12957) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0057795) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME31498) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-04-22 |