| NPI | 1154681989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101268895) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01080902A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.122413) | |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2023-09-15 |