| NPI | 1457378325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35096961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 141783) |
| 207R00000X Internal Medicine (Licence: OH 35096961) | |
| 207R00000X Internal Medicine (Licence: MA 225321) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-01-05 |