| NPI | 1093714750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35057219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35 057219) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.057219) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2019-10-29 |