| NPI | 1902098262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.120291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241751) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036126579) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2021-12-22 |