| NPI | 1760468797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35080062) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35080062) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 58273) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2025-09-16 |