| NPI | 1265642193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 49677) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.099872) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.099872) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-11-01 |