| NPI | 1528529880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.145077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073973) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2026-05-27 |