| NPI | 1699723486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2005024106) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-095412) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2005024106) | |
| 207R00000X Internal Medicine (Licence: MO 2005024106) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-12-03 |