| NPI | 1184014102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D87100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0005994) |
| 207R00000X Internal Medicine (Licence: OH 57.021825) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-05-17 |