| NPI | 1477909919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD487022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.141540) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD487022) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD487022) | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-12-17 |