| NPI | 1427280965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.133685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094642) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2021-08-03 |