| NPI | 1326039447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35047548) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD043738L) |
| 207R00000X Internal Medicine (Licence: OH 35047548) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2016-10-11 |