| NPI | 1477971430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0094112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.127625) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0094112) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2025-10-22 |