| NPI | 1154749695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.145532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292491) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-02-22 |