| NPI | 1285613851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S0731) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 16804) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-27251) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-27251) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2023-04-15 |