| NPI | 1295022424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.013510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019423) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101019423) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-11-03 |