| NPI | 1649362468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C140274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-088727) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-088727) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-10-05 |