| NPI | 1780698811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 34008573) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 34008573) |
| 207R00000X Internal Medicine (Licence: OH 34-00-8573) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.008573) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2026-07-01 |