| NPI | 1760541056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.067223) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.067223) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01054133A) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-11-08 |