| NPI | 1356348346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 37142) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 37142) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-06-8603-S) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01085789A) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-05-19 |