| NPI | 1891765038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.120329) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M1478) |
| 207R00000X Internal Medicine (Licence: TX M1478) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.120329) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-01-24 |