| NPI | 1164681201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.134095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092061) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 257634) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2023-06-01 |