| NPI | 1255319760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-094227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35094227) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2022-01-05 |