| NPI | 1932306073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.011740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233420) |
| 207R00000X Internal Medicine (Licence: WI 618883-21) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-01-08 |