NPI | 1467653584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35092602) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.092602) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.092602) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2022-11-08 |