| NPI | 1760825657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.128367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128367) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 35.128367) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2020-06-02 |