| NPI | 1891029658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.127731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194074) |
| 207R00000X Internal Medicine (Licence: NY P77733) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2017-01-04 |