| NPI | 1205946126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 23163) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.097538) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 9715395-1205) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-10-03 |