NPI | 1790778595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.075272) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35075272) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 35726) | |
Enumeration Date | 2005-08-26 |
Last Update Date | 2020-10-24 |