| NPI | 1902879976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.087405) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35087405) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2015-11-12 |