| NPI | 1023120250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35125188) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35125188) |
| 207R00000X Internal Medicine (Licence: PA MD427613) | |
| 207R00000X Internal Medicine (Licence: NC 2012-01161) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-11-19 |