| NPI | 1114909744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35040194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-00456) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2022-00456) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101268378) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-10-23 |