| NPI | 1467872481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MN 62332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024684) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 62332) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2024-01-15 |