| NPI | 1194755157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.044422) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35044422) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.044422) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-04-25 |