| NPI | 1306803630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DE C1-0011468) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 23500) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: DE C1-0011468) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-12-23 |