| NPI | 1649530445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301501341) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301501341) |
| 207R00000X Internal Medicine (Licence: MI 4301501341) | |
| 207R00000X Internal Medicine (Licence: OH 57020727) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2015021640) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-11-28 |