| NPI | 1437566312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.014641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9408496) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2020-10-29 |