| NPI | 1013129865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.156484) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 173791) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 12837878-1235) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 7356) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 12837878-1235) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.156484) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-07-02 |