| NPI | 1457447849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 17733) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 20761) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.067034) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-10-25 |