| NPI | 1093925539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.140665) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME101950) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME101950) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-02-12 |