| NPI | 1578858825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35129804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-019391) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-05-31 |