| NPI | 1598116261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35136359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027510) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-06-28 |