| NPI | 1023250396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2018-00084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020143) |
| 207R00000X Internal Medicine (Licence: OH 34.010455) | |
| 207R00000X Internal Medicine (Licence: NC 2018-000084) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.010455) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-05-21 |