| NPI | 1255427167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.099524) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35099524) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 9753) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 48458) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-06-25 |