| NPI | 1710986427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2020012709) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2020012709) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35077124) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2023-05-25 |