| NPI | 1285808725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2010-00033) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2010-00033) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 57.009785) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-02-08 |