| NPI | 1093712283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 32574) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-04-1865) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01086851A) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2021-12-20 |