| NPI | 1982795233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C10003093) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD038578E) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0019475) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-02-10 |