NPI | 1093205445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.153136) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287711) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301514175) | |
Enumeration Date | 2018-05-11 |
Last Update Date | 2025-09-10 |