| NPI | 1306324975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MT227697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245549) |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2023-07-21 |