| NPI | 1205809308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 41089) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 41089) |
| 207R00000X Internal Medicine (Licence: MN 41089) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-11-09 |