| NPI | 1952753881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 57.258145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T5189) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2025-06-26 |