| NPI | 1194836684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 26082) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 23898) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-09-24 |