| NPI | 1043699192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 60903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60903) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 60903) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 77683) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-12-11 |