| NPI | 1336264860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.085224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.085224) |
| 207R00000X Internal Medicine (Licence: CA A76752) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-09-27 |