| NPI | 1083623706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 26071) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD422294) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-35532) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-06-27 |