| NPI | 1285809822 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.123050) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011251) | 
| Enumeration Date | 2008-04-24 | 
| Last Update Date | 2021-12-15 |