| NPI | 1104828300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-06-3153) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35-06-3153) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-06-3153) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-11-14 |