| NPI | 1235343922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.124245) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WI 2881) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX R0564) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-08-07 |