| NPI | 1063688539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.121358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 135613) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.121358) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2022-01-05 |