| NPI | 1639576184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35C.004196) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0442855) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI EMC0009510) | |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2026-07-22 |