| NPI | 1598756447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34-008010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008010) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2022-01-05 |