| NPI | 1568637049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD179414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.009729) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 41063) | |
| 207R00000X Internal Medicine (Licence: IA 41063) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 41063) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2016-10-04 |