| NPI | 1881698835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD013419E) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 220885) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-076293) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-09-21 |