| NPI | 1326259417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301094965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094965) |
| 207R00000X Internal Medicine (Licence: OH 35.091767) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-10-15 |