| NPI | 1376864504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.142366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4324) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.142366) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 31924) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2021-10-26 |