| NPI | 1538315700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 46566) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.122178) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01086368A) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2021-09-15 |