| NPI | 1659347243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.098063) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD427025) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-098063) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2023-12-12 |