| NPI | 1902844863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2009-00194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-084407) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2009-00194) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-01-03 |