| NPI | 1093821027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 32164) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.073565) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-10-22 |