| NPI | 1508025909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35120649) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301102269) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35120649) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301102269) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-09-19 |