| NPI | 1023321023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.146992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017567) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 266324) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2020-03661) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.32635) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2023-04-27 |