| NPI | 1205855541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-03-3519) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-03-3519) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 35-03-3519) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: OH 35033519) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-03-11 |