| NPI | 1497967855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.015904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016106) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101016106) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2022-06-30 |