| NPI | 1164487005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35 087097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-087097) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35-087097) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2017-06-21 |