| NPI | 1922195783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.073695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35073695H) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-05-19 |