| NPI | 1336192350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35033299) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35033299) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35033299) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-01-06 |