| NPI | 1023082278 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-069290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-069290) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35069290) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2025-01-15 |