| NPI | 1063413474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.050204) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-05-0204-B) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.050204) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-09-08 |