| NPI | 1609870450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 1637) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.003024) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL L2979) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2023-03-07 |