| NPI | 1851353064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35074723) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01044761A) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2024-03-13 |