| NPI | 1154505253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DE C1-0011801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246230) |
| 207R00000X Internal Medicine (Licence: CT 046003) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2023-06-08 |