| NPI | 1891299889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.138817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 318142) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-08-13 |