| NPI | 1013930189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301079048) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO DR.0059344) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.132423) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO DR.0059344) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.132423) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-04-04 |