| NPI | 1154380970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35 089659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-089659) |
| 207R00000X Internal Medicine (Licence: WV 20933) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 20933) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35-089659) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: WV 20933) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2017-06-21 |