| NPI | 1720180433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2013015492) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.084810) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 29757) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-12-31 |