| NPI | 1710273248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.123883) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0443400) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2023049398) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-06-27 |