| NPI | 1952665887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.136089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-202052) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.136089) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT202052) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 10928) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-08-01 |