| NPI | 1336354653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.137543) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 49216) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 49216) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-01-25 |