| NPI | 1871814202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.130313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:058392) |
| 207R00000X Internal Medicine (Licence: IN 01072410A) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2019-12-16 |