| NPI | 1225000748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 47053) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME146803) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 72095) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME146803) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-08-30 |