| NPI | 1861812299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.131691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131691) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2023-07-06 |