| NPI | 1326232984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.121853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 142049) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 104482) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 52323) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.121853) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-11-13 |