| NPI | 1154354892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 0428445) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 1999137423) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-35385) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-04-07 |