| NPI | 1154386241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-065501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-086501) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-086501) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-01-13 |