| NPI | 1487034161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301513812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301513812) |
| 207R00000X Internal Medicine (Licence: OH 35.133788) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.133788) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2025-06-25 |