| NPI | 1407847031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-068417) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35-068417) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-03-27 |