| NPI | 1326259078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD20301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38355) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-120399) | |
| 207R00000X Internal Medicine (Licence: OH 57.011424) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-03-02 |