| NPI | 1366436297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 045340) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35080083) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 057848) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-04-20 |