| NPI | 1477670834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-122364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087951) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101267538) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-04-18 |