| NPI | 1033323381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q3367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22721) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 22721) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35093901) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-11-29 |