| NPI | 1699982975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 34010214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010214) |
| 207R00000X Internal Medicine (Licence: MI 5101016065) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-12-14 |