| NPI | 1881972230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.135607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 54093) |
| 207R00000X Internal Medicine (Licence: OH 35.135607) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2025-11-07 |