| NPI | 1609997071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.088822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088822) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.088822) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-12-11 |