| NPI | 1366691016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71706) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD206877) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.096628) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-03-01 |