| NPI | 1205055407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.142689) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.142689) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD426483) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-03-20 |