| NPI | 1972560662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-081020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-081020) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-081020) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036096472) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036096472) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-11-21 |