| NPI | 1720106248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35093475) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35093475) |
| 207R00000X Internal Medicine (Licence: OH 35093475) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-09-30 |