| NPI | 1275815466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: DE C1-0024564) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 28103) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DE C1-0024564) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 28103) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2022-03-15 |