| NPI | 1912160268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.121968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-052051) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35121968) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2021-01-18 |