| NPI | 1841385325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 4979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34006294) |
| 207R00000X Internal Medicine (Licence: IA 3251) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-06-06 |