| NPI | 1285631366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 34007560R) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: OH 34-007560) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-01-05 |