| NPI | 1669586269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35058413) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md435886) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 56062) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA md435886) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-08-02 |