| NPI | 1326045329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 36485) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.075843) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01091157A) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-12-13 |