| NPI | 1346455110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01067685A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089204) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-03-02 |