| NPI | 1245351832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.088781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088781) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.088781) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-12-01 |