| NPI | 1720008360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2018-00208) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.076620) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-076620) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-08-30 |