| NPI | 1316122245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2008010692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.001803) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036127845) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2014-03-27 |