| NPI | 1437343407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.097373) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA MD.202721) |
| 207R00000X Internal Medicine (Licence: IL 036115898) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2021-10-27 |