| NPI | 1508984956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35094130) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.094130) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301079978) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301079978) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-11-03 |