| NPI | 1730386004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2008011529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34009014) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 05-35719) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-01-04 |