| NPI | 1477981348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME140872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.023770) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S0984) | |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2021-03-23 |