| NPI | 1013926765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35062371) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-104112) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.062371) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-02-25 |