| 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 |