| NPI | 1669517785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.144012) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 91922) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 51708) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-08-17 |