| NPI | 1316914047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 81-000083) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL MFC1413) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 81-000076) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-04-30 |