| NPI | 1235134396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD015185E) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 1064381) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35075772) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |