NPI | 1962923805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.144863) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.144863) |
207R00000X Internal Medicine (Licence: WV 31039) | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2024-08-27 |