| NPI | 1457669897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.138653) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 1457669897) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301114202) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301114202) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2020-06-09 |