| NPI | 1962509315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35031927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 031155) |
| 207R00000X Internal Medicine (Licence: OH 35.031927) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 031155) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.031927) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-08-11 |