| NPI | 1104231216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-48053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-48053) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-08-01 |