| NPI | 1942329370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 41887) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 41887) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-091340) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-12-19 |