NPI | 1518957919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-078989) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35-078989) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2024-08-01 |