| NPI | 1104289370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.147896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01082100A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01082100A) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-08-22 |