NPI | 1114926813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35069252) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.069252) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2020-01-17 |