| NPI | 1043424765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301076543) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.091874) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 141984) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-05-21 |