| NPI | 1710151204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 58.002465) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-8841) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-12-11 |