| NPI | 1891764007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35047818) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35-047818-P) |
| 207R00000X Internal Medicine (Licence: OH 35047818) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35047818) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-01-07 |