| NPI | 1235123365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 30372) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30372) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 10419) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-02-24 |