| NPI | 1629122916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.008928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008928) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 4768) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-12-05 |