| NPI | 1659336337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35061554C) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35061554) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-03-24 |