| NPI | 1659334696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35140008) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01062191A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 40420) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-10-27 |