| 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 |