| NPI | 1801022264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35098677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-098677) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.098677) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2019-05-22 |