| NPI | 1023132511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 13444) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NV 13444) |
| 207R00000X Internal Medicine (Licence: NV 13444) | |
| 207R00000X Internal Medicine (Licence: CA A111256) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-07 |