| NPI | 1336105949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.092226) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 3242) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD029838E) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 3242) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD029838E) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2022-02-14 |