| NPI | 1164830824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35C.002444) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 55130) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2025-08-21 |