| NPI | 1497823595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 34009295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI MD014193) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI MD014193) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-03-29 |