| NPI | 1174593461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 23320) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 23320) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-03-13 |