| NPI | 1598769416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35072291S) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35072291S) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301055113) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301055113) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2023-11-03 |