| NPI | 1629090006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.097936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 052365) |
| 207R00000X Internal Medicine (Licence: OH 35.097936) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-07-06 |