| NPI | 1679007868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.153257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069800) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-05-27 |