| NPI | 1164685277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T1071) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 46581) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.123384) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-09-16 |