| NPI | 1932338316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS016211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012899) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.012199) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2018-10-17 |