| NPI | 1689828238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301113969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-091130) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036148662) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2019-05-28 |