| NPI | 1952557753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-38348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 5) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2016-08-17 |