| NPI | 1760613954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.010197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018177) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS018177) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2021-03-10 |