| NPI | 1275690729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2009001420) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2009001420) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0439428) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-11-15 |