| NPI | 1174185607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 68200) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 57.246991) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 21243) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2023-12-26 |