| NPI | 1841528775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.122804) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.122804) |
| 207R00000X Internal Medicine (Licence: WV 23890) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2020-12-29 |