| NPI | 1184626384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35-06-5086) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35-06-5086) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-03-22 |