| NPI | 1699942482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 65960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.096192) |
| 207R00000X Internal Medicine (Licence: NC 141662) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 30852) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2023-06-19 |