| NPI | 1053364265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0426647) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 110276) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-12-11 |