| NPI | 1376833129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02005736A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 267039) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS13717) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.016578) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2025-01-10 |